1. Please select the appropriate link to access the online orthopaedic intake form.
2. Enter your name at the bottom of the form.
3. Enter the email address “[email protected]” at the bottom of the form.
4. Select the “Share Score With Your Provider” button to send the form to our clinic.

If you have any questions or concerns, please feel free to contact us at [email protected]. Thank you for choosing Clearwater Physical Therapy!

FOOT AND ANKLE

https://orthopowertools.com/FAAM

KNEE

https://orthopowertools.com/KOOS12

HIP

https://orthopowertools.com/HOOS12

LOW BACK (AND SCIATICA)

https://orthopowertools.com/ODI

NECK

https://orthopowertools.com/NDI

SHOULDER, ELBOW, AND HAND

https://orthopowertools.com/QUICKDASH

GENERAL HEALTH

https://orthopowertools.com/WHOQOLBREF